Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Executive Residential Services LLC

Organization Assisted Living Facility · NPI 1215873088

Executive Residential Services LLC is an Assisted Living Facility in Anaheim, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

856 N West St
Anaheim, CA 92801-4302
Phone: (949) 258-3663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1215873088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Genesis Johnson — Administrator · (562) 230-9589
NPI enumeratedApril 24, 2026
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address856 N West St, Anaheim, CA 92801-4302

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